Senior Risk Adjustment Coder II HCC & Compliance Expert
Direct Jobs
Direct Jobs is seeking a Risk Adjustment Coder II in Houston, Texas. This role involves advanced support for medical record reviews, ensuring correct capture of chronic conditions and compliance with CMS guidelines. The Coder II acts as a subject matter expert, facilitating team training and audits. The ideal candidate will have a Bachelor's degree or equivalent experience in risk adjustment, along with relevant coding certifications. Experience in Commercial and Medicare coding is required alongside strong analytical and communication skills. #J-18808-Ljbffr
- Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate...SeniorRisk
$70k - $85k
...Risk Adjustment Coding Specialist II - Houston, Texas We are currently seeking a highly... ...metrics—such as HCC recapture rates, AWVs, and... ...knowledge of coding regulations, compliance guidelines, and updates to... ...overread assignments. Supports coder training and orientation...RiskWork at office$25.3 - $35.74 per hour
...Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities... ...on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have...RiskHourly pay$70k - $85k
Astrana Health Management in Houston, Texas seeks a Risk Adjustment Coding Specialist II to support risk adjustment efforts through high-volume coding reviews. The role requires 3-5 years of coding experience, strong communication skills, and AAPC or AHIMA certification...SeniorRiskFull time- ...Houston is seeking a Certified Medical Coder to review and code inpatient and outpatient medical records. You will ensure compliance with ICD-10-CM and HCPCS guidelines while... ...and at least three years of experience in risk adjustment. AAPC or AHIMA credential is required....Risk
$27.69 - $34.62 per hour
Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk... ...II will serve as a subject matter expert for risk adjustment and will assist in... ...by supervisor. Ensure coding compliance by following the Official Coding Guidelines...RiskWork experience placement$70k - $85k
A healthcare organization is seeking a Risk Adjustment Coding Specialist II to support risk adjustment efforts in Beaumont, Texas. The ideal candidate will have 3-5 years of experience in risk adjustment coding and should be capable of conducting chart reviews, educating...Risk- ...Texas, is seeking an Information Security Analyst II responsible for safeguarding sensitive data and responding... ...involves monitoring security incidents, conducting risk assessments, and developing policies to ensure compliance with industry regulations. Required qualifications...Risk
$25.3 - $35.74 per hour
...Value Based Coder II Inspired by faith. Driven by innovation... ...the Quality Management/Risk team, responsible for... ...Condition Categories (HCC). This role focuses on... ...appropriate risk-adjusting conditions and supporting... ...adjustment principles. 3. Compliance & Regulatory Insight:...RiskWork at office- ...cases and presentations that articulate the benefits and risks of proposed projects to senior leadership. Leads cross-functional team efforts to... ...investments to assess risks and opportunities. Regulatory Compliance - Understanding and ensuring adherence to legal and...SeniorRiskContract work
$150k
...Job Description Job Description Senior Subject Matter Expert — Federal Contracting & Compliance Employment Type Full-Time, Exempt | W-2 Permanent Employee... ....S. Secret clearance. • DAWIA Contracting Level II or FAC-C Level II certification. • Prior experience...SeniorPermanent employmentFull timeFor contractorsFor subcontractor- ...experience in billing compliance Experience working in teaching... ...Certified Professional Coder (AAPC) or RHIA -... ...changing environments and to adjust to new requirements... ...FUNCTIONS Conducts risk-based and baseline reviews... ...Serves a subject matter expert. Effectively...SeniorRisk
- ## Senior Rotating Equipment ExpertApplylocations: Houston... ...Rotating Equipment Expert (Open)LocationHouston,... ...allowing Air Liquide to adjust supply needs more... ...development of selected risk assessments for new and... ...machinery* Ensure subsidiary compliance with directives from AL...SeniorRisk
- A leading risk management firm in Houston is seeking a Credit Risk Analyst II to manage and analyze daily credit risk exposures. The role involves maintaining compliance, managing collateral, and evaluating risk strategies within a dynamic environment. Successful candidates...RiskWork at office
- ...relationship with commercial, credit, risk, and compliance teams. Day-to-day responsibilities include... ...internal clients, including NRG’s senior leaders, on complex business issues, compliance... .... Level, Title and/or Salary may be adjusted based on the applicant's experience or...SeniorRisk
- Houston Methodist is hiring a Registered Nurse (RN) II in Houston, Texas. This position involves providing professional nursing care and supporting a diverse patient population while collaborating with a multidisciplinary healthcare team. The ideal candidate must possess...Senior
- HCC Service Company, Inc. is seeking a Senior Investment Accountant in Houston, TX to handle accounting and reporting for invested assets in compliance with US GAAP and IFRS. This hybrid role involves preparing journal entries, reconciliations, and financial statements...Senior
- ...Senior Auditor I/II - Retail and Institutional Location US-MS, AL, Houston, TX; Memphis... ...the adequacy of controls and ensuring compliance with applicable laws and regulations.... ...thinking by appropriately challenging risks, scope, and approaches, and providing...SeniorRiskFull time
- ...Description GENERAL SUMMARY The Senior Operations Manager is responsible for... ...administrative operations to ensure costs, risks, compliance, and performance standards are managed... ...Finance Agencies, Investors, Insurance Adjusters, elected officials, and other...SeniorRiskFor contractorsWork at officeLocal area
$54.4k - $111.5k
Fifth Third Bank is seeking a Credit Analyst II in Houston, Texas, responsible for supporting Portfolio Managers with credit underwriting... ...monitoring, performing analytical activities, and identifying risks. The ideal candidate will hold a Bachelor's degree in Business,...Risk- ...general supervision, the Senior Payroll Specialist... ...payroll operations in compliance with company policies and... ...regulatory requirements. II. Essential Duties and... ...Flexibility to adjust quickly to unexpected demands... ...physical and occupational risks, and the work...SeniorRiskHourly payTemporary workWork experience placementWork at officeLocal area
$182.5k - $208.3k
Senior Manager, Senior Counsel - US Commercial & Product... ...for: Providing expert counsel and strategic guidance... ...contracting and risk identification and mitigation... ...(e.g., Durbin and Reg. II) and debit specific... ...Partnering with Risk and Compliance teams to ensure comprehensive...SeniorRiskFull timeContract workPart timeLocal area3 days per week- ...financial institution in Houston, Texas is seeking a Credit Analyst II to partner with Portfolio Managers and support underwriting tasks... ...analytical activities, reviewing covenants, and developing risk models. The ideal candidate has a Bachelor's degree in Business,...Risk
- Fifth Third is seeking a Credit Analyst II in Houston, Texas, responsible for partnering... ...underwriting tasks, and conducting risk analysis. The ideal candidate will have a... ...involves preparing risk assessments and managing covenant compliance. #J-18808-Ljbffr Fifth ThirdRisk
- ...Job Description Job Description Manager of Risk Adjustment Upward Health is an in-home, multidisciplinary medical group providing... ...decision-making. Act as a risk adjustment subject matter expert for RAF, Medicaid risk score operations, performance trends,...Risk
- ...TradeJobsWorkForce in Houston, Texas, is looking for a Risk Manager to lead the identification and management of company-wide risks... ...The ideal candidate will manage insurance procurement, develop compliance policies, and oversee all claims and litigation processes. This...SeniorRisk
$92k - $146k
Financial Analysis Senior Location: Houston, Texas, United States... ...financial systems, incorporating adjustments for revenue and related costs... ..., and challenges the risks, assumptions, drivers, and interdependencies... ...forecast. Regulatory Compliance - Ensuring an organization's...SeniorRiskFull timeTemporary workPart timeRemote work- ..., TX to provide comprehensive contract support across business units. The role involves managing contract negotiations, ensuring compliance, and supporting the mergers and acquisitions team with contract reviews. Ideal candidates will have significant experience in contract...SeniorRiskContract work
- The Credit Risk Analyst II is responsible for the administration and performance of tasks related... ...monthly internal credit reporting to senior management. Monitor and manage a... ...hedge ratios and ensure customer is within compliance. Report noncompliance of covenants. On...RiskWork experience placementWork at office
- Smartcu is looking for a skilled loan underwriter to evaluate Consumer, Home Equity, and HELOC loan applications in Houston, Texas. Candidates should have 3-5 years of relevant experience and a high school diploma or equivalent. Responsibilities include making timely credit...SeniorRisk
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